NPI | 1427348150 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD183639) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60742774) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2025-09-25 |